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1972223915
BETHANY P BALL
MADISON, MS
NPI
1972223915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 905499)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
BETHANY P BALL NP
117 FOUNTAINS BLVD STE 1
MADISON, MS 39110-6317
Phone number: 601-499-1105
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Mailing Address
BETHANY P BALL NP
1 MILLER PKWY APT 7206
JACKSON, MS 39211-1854
Phone number: 662-803-0196
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